Important Documents

Booklet

Claim Form

Ortho Information

Ortho Verification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cafeteria 125 Plan

For up-to-date information about your personal Cafeteria Plan account, please visit www.myflexonline.com.

San Jose Unified School District offers the following two benefit plan options:

• Medical Reimbursement Account (MRA) with an annual limit up to $5,000 in deductions.
• Dependent Care Assistance Plan (DCAP) with an annual limit of up to $5,000; if married filing separately limit is $2,500.

One of the most important features of MRA and DCAP is that you are allowed to make contributions to these programs on a pre-tax basis; thereby increasing your net take-home pay.

IMPORTANT INFORMATION

The plan year for these programs is from January 1st through December 31st of the same year.

Both programs require that an employee elect to participate either within 30 days of date of hire, or during the annual open enrollment period, or within 30 days of a change in family status.

 If you wish to continue to participate in any of these programs each plan year, you are required to make an election to re-enroll by completing the necessary paperwork each and every annual enrollment period.

 To download more information about Dependent Care Assistance and Medical Reimbursement, click here.

 

Claim Form